Pass Med Obs Flashcards
What are the main causes of bleeding
The 4 Ts tone tissue trauma thrombin
An US is indicated if Loch is persists beyond
6 weeks
Screening tool for postnatal depression
Edinburgh scale
What should you do if the cord is palpated during labour
Use tocolytics to reduce core compression and allow for c section
Push presenting part of foetus up and back into uterus leaving the cord behind to prevent compression
Advise the patient to go on all 4s
How are heparin levels monitored in a patient with a DVT
Anti Xa
Why are footling presentations so risky
5-20% risk of prolapse of cord
How often should T1DM patients monitor their glucose when pregnant
Daily fasting, pre meal, 1 hour post meal and bedtime tests
How do you treat group b strep in pregnant woman
Intrapartum IV benpen
When in an antenatal apt does the patient get a urine culture to detect asymptomatic bacterium is
8-12 weeks
When does the pt get a second screen for anaemia and atypical red cell alloantibodies
28 weeks
When is the earliest you could manually move the baby if breech
36 weeks to see if the baby moves them self
When do non sensitised Rneg patients get anti D
28 weeks
Give anti d when
Any delivery miscarriage TOP ectopic external cephalon version antepartum haemorrhage amniocentesis CVS FBS abdo trauma
Treat PPH first line
Syntocinin and ergometrine
What should you do if a patient has come into contact with rubella or may have it
Contact local health protection unit
Hypoglycaemic safe in breast feeding
Met form in
In seizures how long should the pt be on mg sulphate
Continue for 24 hours after delivery or after last seizure
What would happen to AFP oestriol HCG pAppa and NT in downs
AFP low Low oestriol High hcg Low pAppa Thickened NT
More than half of cord prolapses occurs after
Artificial ROM
Which antibiotic for premature rupture of membranes
Erythromycin 10 days
Can you give the MMR vaccine during pregnancy
No and after having it you cannot become pregnant for 28 days
A woman at moderate or high risk of preeclampsia should take aspirin at what dose and from when
75mg daily from 12 weeks to birth
What is chorioamnionitis
Uterine tenderness and foul smelling discharge
What is the wood screw manoeuvre
Putting hand in vagina in should dystocia and rotating the foetus 180 degrees in attempt to dislodge the anterior shoulder from the pubic symphysis
When does preganncy related hypertension occur
At least 20 weeks gestation so anything before that is pre existing
What is an absolute contraindication to vaginal delivery
Previous vertical c section scar
Previous uterine rupture
Placenta previa
Treat mg sulphate induced Resp depression
Calcium gluconate
What happens normally in pregnancy to urea creatinine and urinary protein loss
Reduced urea
Reduced creatinine
Increased urinary protein loss
If you suspect endometriosis after birth do what
Admit for IV abx
